Garrett, Paul

Garrett, Paul is an sole proprietor health care provider with primary practice located at 18 Fairview Rd , Medford NJ 08055-9116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Garrett, Paul can be contacted via phone (609) 463-4003.

Contact Information

Primary practice address
18 Fairview Rd Medford NJ 08055-9116
Phone: (609) 463-4003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD028592E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MA04963700 New Jersey

Profile Details

NPI number 1164523312
LBN Legal business name Garrett, Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164523312 NPPES
New Jersey Other 106716 KEYSTONE
New Jersey Other 00644550000 KEYSTONE
New Jersey MEDICAID 7413106 KEYSTONE

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